• Transfer Center Point of Entry Nurse - Days

    Houston Methodist (Houston, TX)
    …units through the facilitation and coordination of patient flow and bed utilization . The POE Nurse position collaborates with clinical staff and interprofessional ... health care team to ensure resource utilization is appropriate to the patient's clinical needs and within covered benefits. This position ensures a compassionate,… more
    Houston Methodist (04/22/25)
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  • Medical Director - National Medicare

    Humana (Austin, TX)
    …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (05/29/25)
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  • Medical Director - Medicaid N. Central

    Humana (Austin, TX)
    …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (05/14/25)
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  • Medical Director - OneHome

    Humana (Austin, TX)
    …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (05/31/25)
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  • Assistant Vice President

    Sedgwick (Austin, TX)
    …and client satisfaction; to ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients for ... multiple business lines; and to provide expertise in client specific case management and utilization review requirements and ensure customer satisfaction… more
    Sedgwick (05/23/25)
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  • Care Manager RN - Remote

    Highmark Health (Austin, TX)
    …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... , identification of opportunities for referral to a Health Coach/ case management , and identification and resolution of...clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS**… more
    Highmark Health (05/21/25)
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  • Medical Director

    Highmark Health (Austin, TX)
    …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
    Highmark Health (05/07/25)
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  • Psychology Fellow - Psychiatry (Medical Center)

    Houston Methodist (Houston, TX)
    …multiple projects throughout the year including a detailed diagnostic evaluation and case formulation on a patient. The Psychology Fellow position will also be ... accurate and comprehensive patient assessment. + Ensures compliance and appropriate utilization of information technology resources to include enterprise practice … more
    Houston Methodist (05/31/25)
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  • Account Manager, Endovascular

    Abbott (San Antonio, TX)
    …This includes influencing stakeholders within the hospital, driving product utilization , support on contracting, relationship development, relationship management ... Secondary responsibility is to support clinical selling activity and some procedure case service. This includes selling on clinical differentiation in the procedure,… more
    Abbott (05/03/25)
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  • Director of Rehab - Physical Therapy Assistant…

    Genesis Healthcare (Dallas, TX)
    …of the rehabilitation department, including oversight related to case management , quality improvement, care planning, clinical utilization , and patient ... support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the US with...Director of Rehab PTA is responsible for the efficient management of rehabilitation services in their assigned account(s). This… more
    Genesis Healthcare (05/24/25)
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